Foresight: A Novel Software For Personalized Ablations Using Schwind Amaris And Ms39 Imaging

To evaluate the accuracy and potential clinical benefits of Foresight, a corneal simulation software developed by Schwind Eye Tech Solutions. This platform predicts the postoperative corneal shape and guides customized ablation strategies for complex refractive cases, particularly in keratoconus.

Eye clinic Svjetlost, Zagreb, Croatia

A total of 60 eyes—30 treatment-naïve (“virgin”) and 30 keratoconus with prior corneal crosslinking (CXL)—were analyzed. Corneal imaging and tomography were performed with the MS39 (CSO Italia). Foresight was used to plan ablations on the Schwind Amaris 1050 laser, simulating postoperative corneal geometry and estimating higher-order aberrations, especially coma and astigmatism.

Postoperative outcomes closely matched the Foresight simulations, demonstrating high accuracy in predicting corneal shape and refractive changes. The software’s ability to model coma and residual astigmatism was particularly noteworthy. In keratoconus eyes with previous CXL, unique ablation profiles generated via Foresight improved visual quality beyond conventional treatment protocols.

By integrating advanced simulation and tailored ablation planning, Foresight represents a significant step forward in personalized vision correction for both virgin and complex keratoconus eyes. While larger-scale studies are warranted, this software shows promise for delivering safe, precise, and individualized outcomes when combined with Schwind Amaris 1050 treatments and MS39-based corneal imaging.